Loretta Keenan
Individual provider Active NPI Registered Nurse · Weaverville, CA
NPI 1841521259 · NPPES record last updated Aug 27, 2015
Key facts
- NPI
- 1841521259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 267669 (CA)
- Practice address
- 1450 Main Street
Weaverville, CA 96093 - Phone
- (530) 623-1362
- Fax
- (530) 623-1447
- NPI assigned
- Jan 25, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30868 | CA | MD | Chiropractor |
| 267669 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 30868 | CA | |
| Registered Nurse | 163W00000X | 267669 | CA | Yes |
Addresses
Primary practice location
1450 Main Street
Weaverville, CA 96093
Mailing address
PO Box 1640
Weaverville, CA 96093-1640
Phone (530) 623-1362
Other providers in Weaverville, CA
- Li Min Hou
- Ann Houle
- Human Response Network
- Steven Johannsen
- Heidi Lenora Johnson
- Laura Keller
- Meghan Christine Keyes
- Jeffrey Scott Kist
- Dorothy Knowles
- Lisa Koponen
All providers in Weaverville, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.